| NPI | 1679065544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA JEAN-BAPTISTE Director 678-561-2389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2021-07-20 |